Hylton View

Updated 24 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 10 February 2022 and was announced. We gave the service short notice on the day of the inspection.

Updated 24 February 2022

About the service

Hylton View is a residential care home providing personal and nursing care to 34 people aged from 65 and over, some of whom were living with a dementia. The service can support up to 40 people in one large adapted building.

People’s experience of using this service and what we found

People told us they were comfortable, happy and safe living at Hylton View. Relatives were positive about the service and were welcomed by staff. Staff positively engaged people in conversations and activities.

Medicines were generally managed safely, and the registered manager had created bespoke checks to remove any potential risks to people through unsafe administration. We found some areas relating to the use of topical medicines needed to be reviewed but these issues did not place anyone at risk of harm.

Care needs were fully assessed and used to create individual care plans. People’s support needs were reviewed regularly, and care plans were updated to reflect any changes.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were asked for their choices regarding their care and support needs. Sometimes relatives and advocates supported people to make sure their views were heard and recorded

The registered manager had worked to improve the service and regularly asked for feedback from staff, people, relatives and visitors to find new ways to develop the service. There was a robust quality assurance system in place to monitor the care provided. Results from this were used as a direction for improvement by the registered manager.

Staff were safely recruited and were provided with on-going training to make sure they had the essential skills and knowledge to support people. New staff were provided with an induction from the provider and supported by other staff to help them integrate into the staff team. The registered manager supported staff and ensured they received regular supervisions.

The premises were clean, safe and nicely decorated. Risks people may face were fully identified and mitigated. There were emergency procedures in place to keep people safe, for example evacuation and business continuity plans.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 5 May 2018) and there was a breach of Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was due to ineffective quality assurance systems and records not being fully accurate.

There was also an inspection on 8 April 2019. However, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the service had made sustained improvements and addressed all of the issues identified at the last inspection.

Why we inspected

This is a planned re-inspection because of the issue highlighted above.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.